WARREN JAMES LAKE

PHOENIX, AZ
NPI1659502979
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: AZ  8589)
Enumeration Date2009-08-04
Last Update Date2012-02-28
Business Address
Mr. WARREN JAMES LAKE P.T.
1530 W GLENDALE AVE SUITE 101
PHOENIX, AZ 85021-8578
Phone number: 602-242-1909
Mailing Address
Mr. WARREN JAMES LAKE P.T.
8993 W IRMA LN
PEORIA, AZ 85382-6479
Phone number: 801-916-0030
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